Jason Michael Depietropaolo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-007551-L Issued in PA

Practice address

520 S Main St
Old Forge, PA 18518-1542

Phone

(570) 457-0977

Fax

(570) 457-1279

NPI assigned

Mar 14, 2006

Last updated

Aug 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1851369078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CAREY LN",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403225",
            "telephone_number": "570-655-8887",
            "fax_number": "570-457-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181542",
            "telephone_number": "570-457-0977",
            "fax_number": "570-457-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIETROPAOLO",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007551-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018139920001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "720512",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Continuous Care, Inc
• Jacqueline Judeth Costello-Atherton-Ely, L.P.C.
• Fiore Cremard III, PHARM.D.
• Kendra M Croker, PHARMD, MBA
• Kellyann Daley, PHARM. D
• Edward Dolinish, R.PH.
• Michele L Domiano, OD
• Amanda Dranchak, MS, OTR/L
• Darlene Ann Dunay, D.O.
• Deborah M. Dunbar, RPH.

• Chiropractor in Old Forge, PA
• Providers in Old Forge, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.